Paediatric diaphyseal malignant tumors: options for reconstruction after intercalary resection

From January 2002 to June 2008, 525 malignant pediatric skeletal tumors were operated. Forty-two (8%) tumors were diaphyseal in origin. The age of the patients ranged from two to 16 years. Femur was the most common site.After resection, various methods of reconstruction were adopted based on tumor site and availability of reconstruction options. Thirty-seven patients were available for follow-up. Follow-up duration ranged from 4 months to 86 months (mean 38.3 months). Eight patients succumbed to the disease. There were three local recurrences. The Musculoskeletal Tumor Society Score ranged from 18 to 30 (mean 27). Joint-preserving intercalary resections are an oncologically safe option with gratifying functional results.